Diabetic Ketoacidosis | Pediatrics
This video describes the pathophysiology, clinical features and management of diabetic ketoacidosis in children.
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In severe DKA, always start regular insulin infusion at the rate of 0.1 IU/kg/hour AFTER bolus fluid 20 ml/kg NS or RL over one hour . When child is improving ( signs of acidosis are decreased) usually after 6-12 hours, then taper regular insulin infusion from 0.1 to 0.05 IU/kg/hour.
In less than 4 years age children with mild to moderate DKA, we can start regular insulin infusion 0.05 IU/kg/hour after bolus fluid.
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Thank u so much maam?I am in first year,totally out of clue how to manage,ur video helped me lot maam,
Same here… Indebted to u mam for a lifetime ?
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Useful and Informative…. Thank you maam… Please Upload more such useful videos…. Thank you maam…
Definitely
Thank you so much mam
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Welcome
Very excellent topic .thank you very much doctor
Welcome
Mam ..Milwaukee formula ( 85ml/kg +maintenance fluid) -initial bolus given for 1hour /23
It’s also correct mam ?given in Nelson…
@Learning Pediatrics tq mam
Dear Ramesh,
Both are correct.
Awesome lecture mam thank u alot
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Very very thanks mam every teaching class of u helping very much mam pls make video on management of electrolyte imbalance and acid base disorders thanku mam
Welcome and definitely I will take lectures on these topics
Thank u ma’am..
Thank you so much ma’am
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Thanks?? for video..
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maam could you make a video on congenital hypothyroidism ?
@Learning Pediatrics thankyou so much ma’am
Definitely Surya
Very useful …
Plz upload more videos
Well expined
Thank you mam..really well explained
Thank you ma’am
Welcome
Mam how to prepare 0.45% DNS.??
Learning Pediatrics thanx v much MAM
It’s available
Or
By mixing equal amount of 10% Dextrose and 0.9% NS fluid.
I don’t understand where the 85mls/kg is coming from can you please explain. Thank you
Dear Toa,
It’s Milwaukee formula
Thanks mam very good video… please continue the good work ?
Welcome ?
Ma’am how have you calculated regular insulin infusion rate i.e. 2.08ml/hour?
Plus do we always dilute the regular insulin in 50 ml NS? Please clear my queries ma’am, I’ll be highly obliged 🙂
Hello Fatima,
50 ml ➗ 24 hours =2.08 ml/hour.
No, it’s not necessary to dilute in 50 ml fluid. But it’s easy to use 50 ml syringe in syringe pump, so we generally do this.
@Learning Pediatrics okay ma’am, thanks a lot?